If AP_CLAIM.ORIG_ADJST_CLM_ID is not NULL then AP_CLAIM.ORIG_ADJST_CLM_ID Otherwise if AP_CLAIM.REV_CLM_ID is NULL then AP_CLAIM_2.ORIG_ACT_ADJ_CLM_ID Otherwise NULL

"EpicExternallyPaidClaimDataAggId"

If AP_CLAIM.ORIG_ADJST_CLM_ID is not NULL then AP_CLAIM.ORIG_ADJST_CLM_ID Otherwise if AP_CLAIM.REV_CLM_ID is NULL then AP_CLAIM_2.ORIG_ACT_ADJ_CLM_ID Otherwise NULL

"EpicExternalPaidPayerSystemClaimId"

If AP_CLAIM.ORIG_ADJST_CLM_ID is not NULL then AP_CLAIM.ORIG_ADJST_CLM_ID Otherwise if AP_CLAIM.REV_CLM_ID is NULL then AP_CLAIM_2.ORIG_ACT_ADJ_CLM_ID Otherwise NULL

"EpicExternallyPaidClaimDataAggId"

"EpicExternalPaidPayerSystemClaimId"

If there exists any claim with AP_CLAIM.STATUS_C of 1-New, 2-Pending, 3-Denied, or 4-Clean and AP_CLAIM.ORIG_ADJST_CLM_ID is NULL and AP_CLAIM.ORIG_REV_CLM_ID is NULL and AP_CLAIM_2.ORIG_ACT_ADJ_CLM_ID = AP_CLAIM.CLAIM_ID of this row then the maximum AP_CLAIM.CLAIM_ID of that set Otherwise AP_CLAIM.ADJST_CLM_ID

"EpicExternallyPaidClaimDataAggId"

If there exists any claim with AP_CLAIM.STATUS_C of 1-New, 2-Pending, 3-Denied, or 4-Clean and AP_CLAIM.ORIG_ADJST_CLM_ID is NULL and AP_CLAIM.ORIG_REV_CLM_ID is NULL and AP_CLAIM_2.ORIG_ACT_ADJ_CLM_ID = AP_CLAIM.CLAIM_ID of this row then the maximum AP_CLAIM.CLAIM_ID of that set Otherwise AP_CLAIM.ADJST_CLM_ID

"EpicExternalPaidPayerSystemClaimId"

If there exists any claim with AP_CLAIM.STATUS_C of 1-New, 2-Pending, 3-Denied, or 4-Clean and AP_CLAIM.ORIG_ADJST_CLM_ID is NULL and AP_CLAIM.ORIG_REV_CLM_ID is NULL and AP_CLAIM_2.ORIG_ACT_ADJ_CLM_ID = AP_CLAIM.CLAIM_ID of this row then the maximum AP_CLAIM.CLAIM_ID of that set Otherwise AP_CLAIM.ADJST_CLM_ID

"EpicExternallyPaidClaimDataAggId"

"EpicExternalPaidPayerSystemClaimId"

GEO_BENE_SK|CLM_DT_SGNTR_SK|CLM_TYPE_CD|CLM_NUM_SK

GEO_BENE_SK|CLM_DT_SGNTR_SK|CLM_TYPE_CD|CLM_NUM_SK

GEO_BENE_SK|CLM_DT_SGNTR_SK|CLM_TYPE_CD|CLM_NUM_SK

GEO_BENE_SK|CLM_DT_SGNTR_SK|CLM_TYPE_CD|CLM_NUM_SK

GEO_BENE_SK|CLM_DT_SGNTR_SK|CLM_TYPE_CD|CLM_NUM_SK

GEO_BENE_SK|CLM_DT_SGNTR_SK|CLM_TYPE_CD|CLM_NUM_SK

GEO_BENE_SK|CLM_DT_SGNTR_SK|CLM_TYPE_CD|CLM_NUM_SK

CLM_VALUES.ICN

CLM_VALUES.ICN

If AP_CLAIM.WORKFLOW_C IN ( 4, 5 ) then AP_CLAIM.ACCT_NUM_WITH_VEN Otherwise AP_CLAIM.CLAIM_ID

AP_CLM_RX.CLAIM_ID

The preferred id will be used from "BENE_HIC_NUM" if populated; otherwise the fallback id will be used from "MBI"

If CLM_FROM_DT < 1/1/1753 or CLM_FROM_DT = 12/31/9999 then NULL Otherwise CLM_FROM_DT

The preferred id will be used from "BENE_HIC_NUM" if populated; otherwise the fallback id will be used from "MBI"

If CLM_FROM_DT < 1/1/1753 or CLM_FROM_DT = 12/31/9999 then NULL Otherwise CLM_FROM_DT

The preferred id will be used from "BENE_HIC_NUM" if populated; otherwise the fallback id will be used from "MBI"

If CLM_FROM_DT < 1/1/1753 or CLM_FROM_DT = 12/31/9999 then NULL Otherwise CLM_FROM_DT

If CLM_LINE_FROM_DT < 1/1/1753 or CLM_LINE_FROM_DT = 12/31/9999 then NULL Otherwise CLM_LINE_FROM_DT

If PAT_ID is NULL then IDENT_BUNDLE_ID Otherwise PAT_ID

If PAT_ID is NULL then "EpicExternalIDBundleID" Otherwise "EpicPatientId"

Minimum of STMT_COV_FROM_DATE - Time Zone: Unspecified and SERVICE_START_DATE - Time Zone: Unspecified

If PAT_ID is NULL then IDENT_BUNDLE_ID Otherwise PAT_ID

If PAT_ID is NULL then "EpicExternalIDBundleID" Otherwise "EpicPatientId"

If PAT_ID is NULL then IDENT_BUNDLE_ID Otherwise PAT_ID

If PAT_ID is NULL then "EpicExternalIDBundleID" Otherwise "EpicPatientId"

Minimum of STMT_COV_FROM_DATE - Time Zone: Unspecified and SERVICE_START_DATE - Time Zone: Unspecified

If PAT_ID is NULL then IDENT_BUNDLE_ID Otherwise PAT_ID

If PAT_ID is NULL then "EpicExternalIDBundleID" Otherwise "EpicPatientId"

If PAT_ID is NULL then IDENT_BUNDLE_ID Otherwise PAT_ID

If PAT_ID is NULL then "EpicExternalIDBundleID" Otherwise "EpicPatientId"

Minimum of STMT_COV_FROM_DATE - Time Zone: Unspecified and SERVICE_START_DATE - Time Zone: Unspecified

If PAT_ID is NULL then IDENT_BUNDLE_ID Otherwise PAT_ID

If PAT_ID is NULL then "EpicExternalIDBundleID" Otherwise "EpicPatientId"

If PAT_ID is NULL then IDENT_BUNDLE_ID Otherwise PAT_ID

If PAT_ID is NULL then "EpicExternalIDBundleID" Otherwise "EpicPatientId"

Minimum of STMT_COV_FROM_DATE - Time Zone: Unspecified and SERVICE_START_DATE - Time Zone: Unspecified

If PAT_ID is NULL then IDENT_BUNDLE_ID Otherwise PAT_ID

If PAT_ID is NULL then "EpicExternalIDBundleID" Otherwise "EpicPatientId"

The preferred id will be used from "BENE_HIC_NUM" if populated; otherwise the fallback id will be used from "MBI"

The preferred id will be used from "BENE_HIC_NUM" if populated; otherwise the fallback id will be used from "MBI"

The preferred id will be used from "BENE_HIC_NUM" if populated; otherwise the fallback id will be used from "MBI"

If PAT_ID is NULL then IDENT_BUNDLE_ID Otherwise PAT_ID

If PAT_ID is NULL then "EpicExternalIDBundleID" Otherwise "EpicPatientId"

If PAT_ID is NULL then IDENT_BUNDLE_ID Otherwise PAT_ID

If PAT_ID is NULL then "EpicExternalIDBundleID" Otherwise "EpicPatientId"

If PAT_ID is NULL then IDENT_BUNDLE_ID Otherwise PAT_ID

If PAT_ID is NULL then "EpicExternalIDBundleID" Otherwise "EpicPatientId"

If PAT_ID is NULL then IDENT_BUNDLE_ID Otherwise PAT_ID

If PAT_ID is NULL then "EpicExternalIDBundleID" Otherwise "EpicPatientId"

If PAT_ID is NULL then IDENT_BUNDLE_ID Otherwise PAT_ID

If PAT_ID is NULL then "EpicExternalIDBundleID" Otherwise "EpicPatientId"

If PAT_ID is NULL then IDENT_BUNDLE_ID Otherwise PAT_ID

If PAT_ID is NULL then "EpicExternalIDBundleID" Otherwise "EpicPatientId"

If PAT_ID is NULL then IDENT_BUNDLE_ID Otherwise PAT_ID

If PAT_ID is NULL then "EpicExternalIDBundleID" Otherwise "EpicPatientId"

If PAT_ID is NULL then IDENT_BUNDLE_ID Otherwise PAT_ID

If PAT_ID is NULL then "EpicExternalIDBundleID" Otherwise "EpicPatientId"

The preferred id will be used from "BENE_HIC_NUM" if populated; otherwise the fallback id will be used from "MBI"

The preferred id will be used from "BENE_HIC_NUM" if populated; otherwise the fallback id will be used from "MBI"

The preferred id will be used from "BENE_HIC_NUM" if populated; otherwise the fallback id will be used from "MBI"

If PAT_ID is NULL then IDENT_BUNDLE_ID Otherwise PAT_ID

If PAT_ID is NULL then "EpicExternalIDBundleID" Otherwise "EpicPatientId"

If PAT_ID is NULL then IDENT_BUNDLE_ID Otherwise PAT_ID

If PAT_ID is NULL then "EpicExternalIDBundleID" Otherwise "EpicPatientId"

If PAT_ID is NULL then IDENT_BUNDLE_ID Otherwise PAT_ID

If PAT_ID is NULL then "EpicExternalIDBundleID" Otherwise "EpicPatientId"

If PAT_ID is NULL then IDENT_BUNDLE_ID Otherwise PAT_ID

If PAT_ID is NULL then "EpicExternalIDBundleID" Otherwise "EpicPatientId"

If PAT_ID is NULL then IDENT_BUNDLE_ID Otherwise PAT_ID

If PAT_ID is NULL then "EpicExternalIDBundleID" Otherwise "EpicPatientId"

If PAT_ID is NULL then IDENT_BUNDLE_ID Otherwise PAT_ID

If PAT_ID is NULL then "EpicExternalIDBundleID" Otherwise "EpicPatientId"

If PAT_ID is NULL then IDENT_BUNDLE_ID Otherwise PAT_ID

If PAT_ID is NULL then "EpicExternalIDBundleID" Otherwise "EpicPatientId"

If PAT_ID is NULL then IDENT_BUNDLE_ID Otherwise PAT_ID

If PAT_ID is NULL then "EpicExternalIDBundleID" Otherwise "EpicPatientId"

If CLM_PRMRY_PYR_CD = NULL-Medicare is primary payer, C-Conditional payment by Medicare; future reimbursement expected, M-Override Code: EGHP services involved, N-Override Code: non-EGHP services involved, Y-Other secondary payer investigation shows Medicare as primary payer, or Z-Medicare is primary payer then CmsPayorEpicId component configuration for ReceivedClaimFact or payer configured in the Chronicles interface Otherwise NULL

If CLM_PRMRY_PYR_CD = NULL-Medicare is primary payer, C-Conditional payment by Medicare; future reimbursement expected, M-Override Code: EGHP services involved, N-Override Code: non-EGHP services involved, Y-Other secondary payer investigation shows Medicare as primary payer, or Z-Medicare is primary payer then "EpicPayorId" Otherwise "NotApplicable"

If CLM_PRMRY_PYR_CD = NULL-Medicare is primary payer, C-Conditional payment by Medicare; future reimbursement expected, M-Override Code: EGHP services involved, N-Override Code: non-EGHP services involved, Y-Other secondary payer investigation shows Medicare as primary payer, or Z-Medicare is primary payer then CmsPayorEpicId component configuration for ReceivedClaimFact or payer configured in the Chronicles interface Otherwise NULL

If CLM_PRMRY_PYR_CD = NULL-Medicare is primary payer, C-Conditional payment by Medicare; future reimbursement expected, M-Override Code: EGHP services involved, N-Override Code: non-EGHP services involved, Y-Other secondary payer investigation shows Medicare as primary payer, or Z-Medicare is primary payer then "EpicPayorId" Otherwise "NotApplicable"

If CLM_PRMRY_PYR_CD = NULL-Medicare is primary payer, C-Conditional payment by Medicare; future reimbursement expected, M-Override Code: EGHP services involved, N-Override Code: non-EGHP services involved, Y-Other secondary payer investigation shows Medicare as primary payer, or Z-Medicare is primary payer then CmsPayorEpicId component configuration for ReceivedClaimFact or payer configured in the Chronicles interface Otherwise NULL

If CLM_PRMRY_PYR_CD = NULL-Medicare is primary payer, C-Conditional payment by Medicare; future reimbursement expected, M-Override Code: EGHP services involved, N-Override Code: non-EGHP services involved, Y-Other secondary payer investigation shows Medicare as primary payer, or Z-Medicare is primary payer then "EpicPayorId" Otherwise "NotApplicable"

CmsPayorEpicId component configuration for ReceivedClaimFact or payer configured in the Chronicles interface

If PRPAYAMT is NULL or PRPAYAMT = 0 then CmsPayorEpicId Otherwise NotApplicable

If PRPAYAMT is NULL or PRPAYAMT = 0 then EpicPayorId Otherwise NotApplicable

If PRPAYCD = NULL-Medicare is primary payer, C-Conditional payment by Medicare; future reimbursement expected, M-Override Code: EGHP services involved, N-Override Code: non-EGHP services involved, Y-Other secondary payer investigation shows Medicare as primary payer, or Z-Medicare is primary payer then CmsPayorEpicId Otherwise NULL

If PRPAYCD = NULL-Medicare is primary payer, C-Conditional payment by Medicare; future reimbursement expected, M-Override Code: EGHP services involved, N-Override Code: non-EGHP services involved, Y-Other secondary payer investigation shows Medicare as primary payer, or Z-Medicare is primary payer then EpicPayorId Otherwise NotApplicable

If PRPAYCD = NULL-Medicare is primary payer, C-Conditional payment by Medicare; future reimbursement expected, M-Override Code: EGHP services involved, N-Override Code: non-EGHP services involved, Y-Other secondary payer investigation shows Medicare as primary payer, or Z-Medicare is primary payer then CmsPayorEpicId Otherwise NULL

If PRPAYCD = NULL-Medicare is primary payer, C-Conditional payment by Medicare; future reimbursement expected, M-Override Code: EGHP services involved, N-Override Code: non-EGHP services involved, Y-Other secondary payer investigation shows Medicare as primary payer, or Z-Medicare is primary payer then EpicPayorId Otherwise NotApplicable

If PRPAYCD = NULL-Medicare is primary payer, C-Conditional payment by Medicare; future reimbursement expected, M-Override Code: EGHP services involved, N-Override Code: non-EGHP services involved, Y-Other secondary payer investigation shows Medicare as primary payer, or Z-Medicare is primary payer then CmsPayorEpicId Otherwise NULL

If PRPAYCD = NULL-Medicare is primary payer, C-Conditional payment by Medicare; future reimbursement expected, M-Override Code: EGHP services involved, N-Override Code: non-EGHP services involved, Y-Other secondary payer investigation shows Medicare as primary payer, or Z-Medicare is primary payer then EpicPayorId Otherwise NotApplicable

If PRPAYCD = NULL-Medicare is primary payer, C-Conditional payment by Medicare; future reimbursement expected, M-Override Code: EGHP services involved, N-Override Code: non-EGHP services involved, Y-Other secondary payer investigation shows Medicare as primary payer, or Z-Medicare is primary payer then CmsPayorEpicId Otherwise NULL

If PRPAYCD = NULL-Medicare is primary payer, C-Conditional payment by Medicare; future reimbursement expected, M-Override Code: EGHP services involved, N-Override Code: non-EGHP services involved, Y-Other secondary payer investigation shows Medicare as primary payer, or Z-Medicare is primary payer then EpicPayorId Otherwise NotApplicable

If PRPAYAMT is NULL or PRPAYAMT = 0 then CmsPayorEpicId Otherwise NotApplicable

If PRPAYAMT is NULL or PRPAYAMT = 0 then EpicPayorId Otherwise NotApplicable

If PRPAYCD = NULL-Medicare is primary payer, C-Conditional payment by Medicare; future reimbursement expected, M-Override Code: EGHP services involved, N-Override Code: non-EGHP services involved, Y-Other secondary payer investigation shows Medicare as primary payer, or Z-Medicare is primary payer then CmsPayorEpicId Otherwise NULL

If PRPAYCD = NULL-Medicare is primary payer, C-Conditional payment by Medicare; future reimbursement expected, M-Override Code: EGHP services involved, N-Override Code: non-EGHP services involved, Y-Other secondary payer investigation shows Medicare as primary payer, or Z-Medicare is primary payer then EpicPayorId Otherwise NotApplicable

If PRIM_PAYOR_ID is not NULL then "EpicPayorId" Otherwise "NotApplicable"

If PRIM_PAYOR_ID is not NULL then "EpicPayorId" Otherwise "NotApplicable"

AP_CLAIM_3.PRIM_PAYOR_ID

If AP_CLAIM_3.PRIM_PAYOR_ID is not NULL then "EpicPayorId" Otherwise "NotApplicable"

AP_CLM_RX_2.PRIM_PAYOR_ID

If AP_CLM_RX_2.PRIM_PAYOR_ID is not NULL then "EpicPayorId" Otherwise "NotApplicable"'

If PRIM_PAYOR_ID is not NULL then "EpicPayorId" Otherwise "NotApplicable"

If PRIM_PAYOR_ID is not NULL then "EpicPayorId" Otherwise "NotApplicable"

If CLM_PRMRY_PYR_CD = NULL-Medicare is primary payer, C-Conditional payment by Medicare; future reimbursement expected, M-Override Code: EGHP services involved, N-Override Code: non-EGHP services involved, Y-Other secondary payer investigation shows Medicare as primary payer, or Z-Medicare is primary payer then NULL Otherwise CmsPayorEpicId component configuration for ReceivedClaimFact or payer configured in the Chronicles interface

If CLM_PRMRY_PYR_CD = NULL-Medicare is primary payer, C-Conditional payment by Medicare; future reimbursement expected, M-Override Code: EGHP services involved, N-Override Code: non-EGHP services involved, Y-Other secondary payer investigation shows Medicare as primary payer, or Z-Medicare is primary payer then "NotApplicable" Otherwise "EpicPayorId"

If CLM_PRMRY_PYR_CD = NULL-Medicare is primary payer, C-Conditional payment by Medicare; future reimbursement expected, M-Override Code: EGHP services involved, N-Override Code: non-EGHP services involved, Y-Other secondary payer investigation shows Medicare as primary payer, or Z-Medicare is primary payer then NULL Otherwise CmsPayorEpicId component configuration for ReceivedClaimFact or payer configured in the Chronicles interface

If CLM_PRMRY_PYR_CD = NULL-Medicare is primary payer, C-Conditional payment by Medicare; future reimbursement expected, M-Override Code: EGHP services involved, N-Override Code: non-EGHP services involved, Y-Other secondary payer investigation shows Medicare as primary payer, or Z-Medicare is primary payer then "NotApplicable" Otherwise "EpicPayorId"

If CLM_PRMRY_PYR_CD = NULL-Medicare is primary payer, C-Conditional payment by Medicare; future reimbursement expected, M-Override Code: EGHP services involved, N-Override Code: non-EGHP services involved, Y-Other secondary payer investigation shows Medicare as primary payer, or Z-Medicare is primary payer then NULL Otherwise CmsPayorEpicId component configuration for ReceivedClaimFact or payer configured in the Chronicles interface

If CLM_PRMRY_PYR_CD = NULL-Medicare is primary payer, C-Conditional payment by Medicare; future reimbursement expected, M-Override Code: EGHP services involved, N-Override Code: non-EGHP services involved, Y-Other secondary payer investigation shows Medicare as primary payer, or Z-Medicare is primary payer then "NotApplicable" Otherwise "EpicPayorId"

If PRPAYAMT is NULL or PRPAYAMT = 0 then NULL Otherwise CmsPayorEpicId

If PRPAYAMT is NULL or PRPAYAMT = 0 then NotApplicable Otherwise EpicPayorId

If PRPAYCD = NULL-Medicare is primary payer, C-Conditional payment by Medicare; future reimbursement expected, M-Override Code: EGHP services involved, N-Override Code: non-EGHP services involved, Y-Other secondary payer investigation shows Medicare as primary payer, or Z-Medicare is primary payer then NULL Otherwise CmsPayorEpicId

If PRPAYCD = NULL-Medicare is primary payer, C-Conditional payment by Medicare; future reimbursement expected, M-Override Code: EGHP services involved, N-Override Code: non-EGHP services involved, Y-Other secondary payer investigation shows Medicare as primary payer, or Z-Medicare is primary payer then NotApplicable Otherwise EpicPayorId

If PRPAYCD = NULL-Medicare is primary payer, C-Conditional payment by Medicare; future reimbursement expected, M-Override Code: EGHP services involved, N-Override Code: non-EGHP services involved, Y-Other secondary payer investigation shows Medicare as primary payer, or Z-Medicare is primary payer then NULL Otherwise CmsPayorEpicId

If PRPAYCD = NULL-Medicare is primary payer, C-Conditional payment by Medicare; future reimbursement expected, M-Override Code: EGHP services involved, N-Override Code: non-EGHP services involved, Y-Other secondary payer investigation shows Medicare as primary payer, or Z-Medicare is primary payer then NotApplicable Otherwise EpicPayorId

If PRPAYCD = NULL-Medicare is primary payer, C-Conditional payment by Medicare; future reimbursement expected, M-Override Code: EGHP services involved, N-Override Code: non-EGHP services involved, Y-Other secondary payer investigation shows Medicare as primary payer, or Z-Medicare is primary payer then NULL Otherwise CmsPayorEpicId

If PRPAYCD = NULL-Medicare is primary payer, C-Conditional payment by Medicare; future reimbursement expected, M-Override Code: EGHP services involved, N-Override Code: non-EGHP services involved, Y-Other secondary payer investigation shows Medicare as primary payer, or Z-Medicare is primary payer then NotApplicable Otherwise EpicPayorId

If PRPAYCD = NULL-Medicare is primary payer, C-Conditional payment by Medicare; future reimbursement expected, M-Override Code: EGHP services involved, N-Override Code: non-EGHP services involved, Y-Other secondary payer investigation shows Medicare as primary payer, or Z-Medicare is primary payer then NULL Otherwise CmsPayorEpicId

If PRPAYCD = NULL-Medicare is primary payer, C-Conditional payment by Medicare; future reimbursement expected, M-Override Code: EGHP services involved, N-Override Code: non-EGHP services involved, Y-Other secondary payer investigation shows Medicare as primary payer, or Z-Medicare is primary payer then NotApplicable Otherwise EpicPayorId

If PRPAYAMT is NULL or PRPAYAMT = 0 then NULL Otherwise CmsPayorEpicId

If PRPAYAMT is NULL or PRPAYAMT = 0 then NotApplicable Otherwise EpicPayorId

If PRPAYCD = NULL-Medicare is primary payer, C-Conditional payment by Medicare; future reimbursement expected, M-Override Code: EGHP services involved, N-Override Code: non-EGHP services involved, Y-Other secondary payer investigation shows Medicare as primary payer, or Z-Medicare is primary payer then NULL Otherwise CmsPayorEpicId

If PRPAYCD = NULL-Medicare is primary payer, C-Conditional payment by Medicare; future reimbursement expected, M-Override Code: EGHP services involved, N-Override Code: non-EGHP services involved, Y-Other secondary payer investigation shows Medicare as primary payer, or Z-Medicare is primary payer then NotApplicable Otherwise EpicPayorId

Benefit plan as configured through interface configuration in Chronicles

Benefit plan as configured through interface configuration in Chronicles

Benefit plan as configured through interface configuration in Chronicles

Benefit plan as configured through interface configuration in Chronicles

"EpicBenefitPlanId"

"EpicBenefitPlanId"

"EpicBenefitPlanId"

"EpicBenefitPlanId"

If CLM_PRMRY_PYR_CD = NULL-Medicare is primary payer, C-Conditional payment by Medicare; future reimbursement expected, M-Override Code: EGHP services involved, N-Override Code: non-EGHP services involved, Y-Other secondary payer investigation shows Medicare as primary payer, or Z-Medicare is primary payer then CmsPayorEpicId component configuration for ReceivedClaimFact or payer configured in the Chronicles interface Otherwise NULL

If CLM_PRMRY_PYR_CD = NULL-Medicare is primary payer, C-Conditional payment by Medicare; future reimbursement expected, M-Override Code: EGHP services involved, N-Override Code: non-EGHP services involved, Y-Other secondary payer investigation shows Medicare as primary payer, or Z-Medicare is primary payer then "EpicPayorId" Otherwise "NotApplicable"

If CLM_PRMRY_PYR_CD = NULL-Medicare is primary payer, C-Conditional payment by Medicare; future reimbursement expected, M-Override Code: EGHP services involved, N-Override Code: non-EGHP services involved, Y-Other secondary payer investigation shows Medicare as primary payer, or Z-Medicare is primary payer then CmsPayorEpicId component configuration for ReceivedClaimFact or payer configured in the Chronicles interface Otherwise NULL

If CLM_PRMRY_PYR_CD = NULL-Medicare is primary payer, C-Conditional payment by Medicare; future reimbursement expected, M-Override Code: EGHP services involved, N-Override Code: non-EGHP services involved, Y-Other secondary payer investigation shows Medicare as primary payer, or Z-Medicare is primary payer then "EpicPayorId" Otherwise "NotApplicable"

If CLM_PRMRY_PYR_CD = NULL-Medicare is primary payer, C-Conditional payment by Medicare; future reimbursement expected, M-Override Code: EGHP services involved, N-Override Code: non-EGHP services involved, Y-Other secondary payer investigation shows Medicare as primary payer, or Z-Medicare is primary payer then CmsPayorEpicId component configuration for ReceivedClaimFact or payer configured in the Chronicles interface Otherwise NULL

If CLM_PRMRY_PYR_CD = NULL-Medicare is primary payer, C-Conditional payment by Medicare; future reimbursement expected, M-Override Code: EGHP services involved, N-Override Code: non-EGHP services involved, Y-Other secondary payer investigation shows Medicare as primary payer, or Z-Medicare is primary payer then "EpicPayorId" Otherwise "NotApplicable"

Payor as configured through ReceivedClaimFact Component Configuration or through interface configuration in Chronicles